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Resource Type: Brief Nigeria

Findings from post-intervention analysis of pre-eclampsia/eclampsia in Kogi State, Nigeria

This study brief describes a pre/post, cross-sectional design with both qualitative and quantitative data collected at baseline (2015) and endline (2018). Data collection activities include in-depth interviews with policy makers, survivors of pre-eclampsia and eclampsia (PE/E), and laboratory workers; focus group discussions with men and women from the community; and surveys and observations of client-provider interactions to assess provider capacity in antenatal care and facility readiness and capacity to identify, treat, and manage PE/E at the primary and secondary levels.

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Resource Type: Brief Nigeria

Findings from post-intervention analysis of pre-eclampsia/eclampsia in Ebonyi State, Nigeria

This study briefs describes a pre/post, cross-sectional design with qualitative and quantitative data collected at baseline (2015) and endline (2018). Data collection activities include in-depth interviews with policy makers, survivors of PE/E and laboratory professionals; focus group discussions  with men and women from the community; and surveys and observations to assess provider capacity in antenatal care and facility readiness and capacity to identify, treat, and manage pre-eclampsia and eclampsia at the primary and secondary levels.

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Resource Type: Brief Nigeria

Findings from post-intervention analysis of pre-eclampsia and eclampsia in Cross River State, Nigeria

Maternal and newborn deaths due to pre-eclampsia and eclampsia (PE/E) are preventable, yet in Nigeria this is the most significant direct cause of maternal mortality. Following a landscape analysis to better understand the enormity of this problem across seven states in Nigeria, a cross-cutting intervention was implemented in Cross River, Ebonyi, and Kogi states. Researchers worked with primary health care (PHC) providers, policy makers, women’s groups, and community members to increase uptake of underutilized interventions and commodities for the prevention and treatment of PE/E in rural Nigeria. Follow-up analysis occurred in each state.

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Resource Type: Bangladesh Brief Ethiopia Kenya Nigeria Pakistan

Primary Health Care-Preeclampsia/Eclampsia Plus Model

Between 2008 and 2014, the Council conducted an implementation research study to evaluate task shifting around the prevention, detection, and management of pre-eclampsia and eclampsia (PE/E) at the primary health care (PHC) level, hereby defined as the PHC PE/E Core Model. The study showed that not only were PHC providers effectively able to carry out this task, but maternal mortality in the intervention group decreased. Core model components included training PHC providers on detection and management of PE/E, administration of a loading dose of MgSO4, referral of women to secondary facilities for monitoring, and reinforcing proper detection and management of PE/E at secondary facilities.

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Resource Type: Brief Nigeria

Engaging women’s groups for improved uptake of antenatal services in Cross River State, Nigeria: An analysis of post-intervention findings

The Ending Eclampsia project aimed to understand the potential of underutilized and promising interventions that increase access to services, particularly improving community referral systems. In Nigeria’s Cross River State, this study tested the feasibility of women’s group leaders delivering health information for PE/E, referral, and other antenatal care (ANC) services to their peers, to increasing access to quality maternal and newborn health services.

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Resource Type: Brief Nigeria

Assessing the feasibility and acceptability of community health extension workers to treat hypertension associated with pregnancy: An analysis of post-intervention findings

This study tested the feasibility of tasking community health extension workers (CHEWs) with detecting and managing hypertension, and prescribing an oral antihypertensive drug – alpha methyldopa (aldomet) – at primary health care (PHC) facilities as part of a package of care for women with pre-eclampsia/eclampsia (PE/E). This evaluation measured improvements in knowledge retention and increases in early detection, prevention, and management of PE/E.

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Resource Type: Journal Article Nigeria Resource Type: Brief Nigeria

Assessing feasibility and acceptability of CHEWs treating hypertension in pregnancy

This study intends to test the feasibility of CHEWs detecting and managing hyper- tension, and administering alpha methyldopa at PHC facilities as part of package of care for women with PE/E. In Ebonyi State, CHEWs received training on accurate measurement and categorization of hypertension in pregnancy as normal, mild, moderate, or severe hypertension, and received training on how to manage hypertension using alpha methyldopa. An endline evaluation will measure improvements in knowledge retention and early detection, prevention, and management of PE/E using antihypertensive drugs.

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Resource Type: Brief Nigeria

Engaging community women’s groups for improved antenatal and postnatal care services

In Nigeria's Cross River State, this study aims to test the feasibility of women leaders to deliver health education on PE/E, referral, and other antenatal care (ANC) and postnatal care (PNC) services to their peers; to increase access to ANC/PNC services; to improve the ability of women to request specific services during ANC/PNC consultations and ask for results/feedback about their health examinations; and to test the effectiveness of women’s group interventions on ANC/PNC service uptake.

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Resource Type: Brief Nigeria